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97530 · New Jersey · every payer

What every payer pays for 97530 in New Jersey

9 commercial payers publish New Jersey rates for 97530 (functional activity training), and the median of their medians is $35.58 per 15 min. New Jersey Medicaid's fee-for-service rate, $3,510.00 per 15 min, is 9765% above that commercial median.

Updated 2026-10-08October 2026 filesSources: state fee schedule, CMS, price-transparency files

Commercial median
$35.58per 15 min
New Jersey Medicaid
$3,510.00
Medicare
$37.53+
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Payer mix

97530 in New Jersey, by payer type

Medicare's physician fee schedule pays $37.53–$39.23 in New Jersey across 2 localities.

New Jersey Medicaid$3,510.00
Medicare$39.23$37.53 low
Commercial (9 payers)$35.58
UnitedHealthcare$25.57
Horizon BCBS NJ$35.58
per 15 min. Commercial = median of payer medians, October 2026 files.
By payer

Each payer's 97530 rate in New Jersey

PayerMedianPer hourRates (n)
UnitedHealthcareCommercial$25.57 per 15 min$102.28170
Horizon BCBS NJCommercial$35.58 per 15 min$142.32166
See every payer's 97530 rate in New Jersey

Each commercial payer's median, p25–p75 and n, with Medicaid plan and Medicare Advantage rows. 7-day free trial.

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FAQ

Frequently asked questions

What do commercial payers pay for 97530 in New Jersey?

The median of 9 payers' medians is $35.58 per 15 min, from 560 published rates in the October 2026 files.

How does New Jersey Medicaid compare with commercial insurance for 97530?

New Jersey Medicaid pays $3,510.00 per 15 min, 9765% above the commercial median.

What does Medicare pay for 97530 in New Jersey?

$37.53 to $39.23 on the RVU26B physician fee schedule (non-facility).

What does UnitedHealthcare pay for 97530 in New Jersey?

UnitedHealthcare's median is $25.57 per 15 min, from 170 rates and 648 providers.

What does Horizon BCBS NJ pay for 97530 in New Jersey?

Horizon BCBS NJ's median is $35.58 per 15 min, from 166 rates and 3250 providers.